MEMORIAL PHYSICIANS, PLLC (NPI# 1689098436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689098436 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, PLLC |
| Other Organization Name | HEALTHYNOW-WV |
| Practice Address |
120 S 72nd Ave Suite 102 Yakima WA 98908-4200 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5099721259 |
| Practice Fax Number | 5099721258 |
| Mailing Telephone | 5099721259 |
| Mailing Fax Number | 5099721258 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | TIMOTHY REED (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5092487849 |
| Authorized Official Credential | COO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 602902835 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HealthyNow-WV | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883504 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr Ste 350, Yakima, WA 98902-3690 | 2018-12-21 |
| 1851716278 | Memorial Physicians, Pllc | Clinic/Center | 3904 Terrace Heights Dr, Yakima, WA 98901-1427 | 2014-02-21 |
| 1669732954 | Memorial Physicians, Pllc | Family Medicine | 101 N 65th Ave, Harman Center At Gailleon Park, Yakima, WA 98908-3014 | 2012-05-21 |
| 1508140021 | Memorial Physicians, Pllc | Family Medicine | 2506 W Nob Hill Blvd, Yakima, WA 98902-5104 | 2011-10-03 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1558683334 | Memorial Physicians, Pllc | Clinic/Center | 3909 Creekside Loop Ste 130, Yakima, WA 98902-4880 | 2010-02-22 |
| 1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
| 1558928143 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944 | 2019-05-20 |
| 1760966022 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2018-09-21 |
| 1699257113 | Memorial Physicians, Pllc | Clinic/Center | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
| Street Address |
120 S 72ND AVE SUITE 102 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883504 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr Ste 350, Yakima, WA 98902-3690 | 2018-12-21 |
| 1851716278 | Memorial Physicians, Pllc | Clinic/Center | 3904 Terrace Heights Dr, Yakima, WA 98901-1427 | 2014-02-21 |
| 1932130234 | Medi-center Group | Clinic/Center | 4001 Tieton Dr, Yakima, WA 98908-3345 | 2006-07-05 |
| 1760411912 | Yakima Valley Professional Services On Tieton, PC | Clinic/Center | 311 S. 72nd Ave, Yakima, WA 98908 | 2006-07-01 |
| 1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
| 1871002527 | Sunnyside Community Hospital Assocation | Clinic/Center | 111 S 11th Ave Ste 320, Yakima, WA 98902-3273 | 2017-09-26 |
| 1881103695 | Sunnyside Community Hospital Association | Clinic/Center | 6101 Summitview Ave, Yakima, WA 98908-3028 | 2017-09-25 |
| 1063931475 | Sunnyside Community Hospital Association | Clinic/Center | 1005 W Walnut St Ste 223, Yakima, WA 98902-3360 | 2017-09-18 |
| 1457899437 | Ummelina Day Spa Yakima | Clinic/Center | 399 E Yakima Ave Ste 183, Yakima, WA 98901-4519 | 2017-02-09 |
| 1528519915 | Memorial Physicians, Pllc | Clinic/Center | 303 Holton Ave, Yakima, WA 98902-3239 | 2016-10-20 |
| Find all providers in YAKIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.